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NUR 331 > Acute respiratory conditions > Flashcards

Acute respiratory conditions Flashcards

1
Q

differences in children

A

Smaller airway
Reliance on diaphragmatic/abdominal breathing

Distance between structures shorter – easier infection

pliability of ribs and sternum
Larynx and Glottis – higher in neck
fewer number of alveoli
higher metabolic rate
Ribs, downward slope

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2
Q

Normal RR for infants

A

30 to 40

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3
Q

normal RR for middle childhood

A

20 to 24

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4
Q

Normal RR for adolescence

A

16 to 18

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5
Q

sx respiratory distress

A

Tachycardia
Tachypnea
Diaphoresis
Change in LOC
CO2 retention
Cyanosis – mouth

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6
Q

where can a pulse ox monitor be placed on a child?

A

foot
Ear
Fore head
Finger

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7
Q

interventions to ease respiratory efforts

A

positioning
Warm/cool mist
Bedrest

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8
Q

What is the top intervention to ease respiratory efforts?

A

saline drops with bulbs suction

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9
Q

T/F hot steam mist should be used

A

False

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10
Q

what is the top intervention to improve oxygenation?

A

Suctioning

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11
Q

what should be applied when using a nasal cannula for a child?

A

Apply hydration

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12
Q

Nasopharyngitis

A

Common cold

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13
Q

Causes of nasopharyngitis

A

rhinovirus
Adenovirus
Flu
paraFlu

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14
Q

Should ibuprofen be given to infants less than six months old

A

No, greater than six months

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15
Q

what value is considered a fever in infants?

A

100.4°

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16
Q

T/F a low-grade fever is detrimental and should be treated immediately

A

False, can be beneficial to fight off infection

17
Q

T/F 2 year olds can receive over the counter medication’s

A

False, greater than three

18
Q

what medication should be avoided when treating the common cold in kids?

A

Antihistamines
Antibiotics
Expectorants

19
Q

tonsillitis

A

Commonly viral

20
Q

What is an abnormal symptom of strep/pharyngitis seen in kids

A

Abdominal pain

21
Q

what are the risks of strep, being untreated?

A

Acute rheumatic fever – 18 days
Acute glomerulonephritis – 10 days

22
Q

treatment for strep

A

Antibiotics for 10 days

23
Q

what should be taught for discharge with strep patients

A

New toothbrush – two days post antibiotics
Take all medication
Don’t drink after others
Gargle salt, water
Return to school 24 hours post antibiotics
Transmitted via saliva

24
Q

tonsillectomy

A

Only indicated for recurrent, frequent strep, peritonsillar, abscess, sleep apnea

25
Q

contraindications for tonsillectomy

A

Cleft palate
Acute infection
Uncontrolled systemic disease
Blood dyscrasias
Less than four years old

26
Q

What is the hallmark sign of internal bleeding from a tonsillectomy?

A

Excessive swallowing

27
Q

Nursing interventions post tonsillectomy

A

avoid straws, cough, laugh, cry, suctioning

No red Popsicles or sherbet

Listen to neck for stridor

28
Q

is drooling OK after a tonsillectomy

A

Yes, blood tinged is normal

29
Q

External otitis

A

swimmers. Ear.

Inflammation/infection of outer ear – auricle or a canal

Water is trapped by ear wax

30
Q

Otitis media

A

Middle ear infection

acute inflammation, collection of fluid/pus

31
Q

what is the most prevalent disease of early childhood?

A

Ear infections

32
Q

risk factors of ear infections

A

eustachian tube more horizontal
Non-breast-fed infants
Exposure to smoke
Bottles in bed
unimmunized
Pacifier use
Family history
Allergic rhinitis
Winter time
Craniofacial anomalies

33
Q

Who is more likely to get ear infections?

A

six months to 2 year olds
Boys

34
Q

T/f most ear infections heal without treatment

A

True

Antibiotics can be given
Analgesics can be given

35
Q

what is the form of treatment for chronic ear infections

A

PE tubes

36
Q

Nursing Education with PE tubes

A

no diving, jumping, prolonged submersion
No swimming in lakes or rivers
Avoid pressure postop
Wear earplugs in pool

NUR 331 (27 decks)

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